| Restore Periodontics And Implant Dentistry Pllc | |
|
2017 Eastcastle Dr Se Ste C Grand Rapids MI 49508-8872 | |
| (616) 826-8167 | |
| Not Available |
| Full Name | Restore Periodontics And Implant Dentistry Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2017 Eastcastle Dr Se Ste C, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jordan Dempsey (OWNER) |
| Authorized Official Contact | 6168268167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Periodontics And Implant Dentistry Pllc 2017 Eastcastle Dr Se Ste C Grand Rapids MI 49508-8872 Ph: (616) 826-8167 | Restore Periodontics And Implant Dentistry Pllc 2017 Eastcastle Dr Se Ste C Grand Rapids MI 49508-8872 Ph: (616) 826-8167 |
| NPI Number | 1346976362 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346976362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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